Relation of neutrophil-to-lymphocyte and platelet-to-lymphocyte ratio with coronary artery disease severity in patients undergoing coronary angiography
| Autor: | Erdal Durmus, Mehmet Bozbay, Fethullah Gerin, Murat Sunbul, Tarik Kivrak, Ceyhun Mammadov, Ibrahim Sari |
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| Rok vydání: | 2014 |
| Předmět: |
Blood Platelets
Male medicine.medical_specialty Neutrophils Lymphocyte Cardiovascular examination Coronary Artery Disease Coronary Angiography Gastroenterology Severity of Illness Index Coronary artery disease Internal medicine medicine Humans Lymphocytes Neutrophil to lymphocyte ratio Aged Inflammation business.industry fungi Odds ratio Middle Aged medicine.disease Confidence interval Surgery Blood Cell Count medicine.anatomical_structure Absolute neutrophil count Population study Female Cardiology and Cardiovascular Medicine business Biomarkers |
| Zdroj: | Kardiologia polska. 73(12) |
| ISSN: | 1897-4279 |
| Popis: | Background: Atherosclerosis is a chronic systemic inflammatory disease. Neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) are systemic inflammatory markers that are correlated with poor cardiovascular outcomes. Aim: To explore the relation of NLR and PLR with severity of coronary artery disease (CAD). Methods: The study population consisted of 180 consecutive patients who underwent elective coronary angiography (CAG). While 100 patients (22 female, mean age: 60.6 ± 12.6 years) had abnormal CAG, 80 patients (44 female, mean age: 57.2 ± 10.9 years) had normal CAG. NLR and PLR were calculated as the ratio of neutrophil count to lymphocyte count and as the ratio of platelet count to lymphocyte count, respectively. Results: Although age distribution was similar between the two groups (p = 0.073), female gender was significantly higher in the normal CAG group (p < 0.001). Patients with abnormal CAG had significantly higher NLR and PLR when compared to patients with normal CAG (3.7 ± 2.6 vs. 2.2 ± 1.7, p < 0.001 and 125.9 ± 72.3 vs. 102.6 ± 33.8, p = 0.027, respectively). NLR and PLR were significantly correlated with SYNTAX score and GENSINI score. In logistic regression analyses, only NLR (odds ratio: 1.576, confidence interval: 1.198–2.072, p = 0.001) was an independent predictor of CAD. An NLR of 2.3 or higher predicted the CAD with a sensitivity of 66% and specificity of 70%. Conclusions: NLR and PLR seem to be a simple method to predict severity of CAD in patients undergoing elective CAG, and it may be part of cardiovascular examination before CAG. |
| Databáze: | OpenAIRE |
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